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Quote from: demografx on 09/03/2009 20:13:28B_Jim, Counterpoints, Girlwind...everyone, I know I repeat this, but aren't exhaustion and fatigue predominant in defining POIS, not "also rans"? I thought cognitive symptoms were secondary.No, exhaustion should not be used to define POIS. I think we should be general... POIS is characterized by severe symptoms following orgasm.Also, cognitive symptoms are not secondary. We see some cognitive symptoms reported in almost every case. Cognitive symptoms may be secondary to your specific case, though. (Is that so?).And exhaustion could be considered a cognitive symptom. (What do you mean by "also rans"?).
B_Jim, Counterpoints, Girlwind...everyone, I know I repeat this, but aren't exhaustion and fatigue predominant in defining POIS, not "also rans"? I thought cognitive symptoms were secondary.
Mental and physical exhaustion is already listed on the wiki article as a primary symptom, with a note that some people with the general cognitive symptom cluster (brain fog, etc.) do not experience this specific symptom. (This was recently revised. Before the note said some people experienced the opposite effect, but I think the present explanation is more clear). It's (and it was) in italics; there is even special emphasis on this point.Also, as I've noted, 'exhaustion' can be considered a cognitive symptom. And I have read most of the cases here. I came at p. 27 of 164, and when I arrived, I read through the first 27 pages. I've also studied the survey responses. I don't remember everything I've read -- maybe someone else remembers better than me -- and I'm sure I've missed things, but I am relatively 'aware' of what has been reported. And based on what I remember, I am not in disagreement. What is the apparent disagreement?
TYROSINE EXPERIMENT(P.S. Thank you all for your support and kind advice) 
Glad to hear your treatment is still working Demo
Martin, I don't think most MD's have been exposed to POIS, so the risk may be small to label us as psychological. Perhaps you are influenced by OUR experiences with MD's, but we are only a small fraction of the mainstream population.
Counterpoints, I think people would look at your list, below, as being in descending order of importance. That's the way most people read lists.Exhaustion, below, unfortunately looks like an afterthought, buried as it is in a followon paragraph. And then followed by the energetic exceptions!I think Exhaustion belongs at the very top where difficulty communicating is placed.Most commonly reported symptoms:difficulty communicating (possibly a temporary aphasia) word-finding difficulty anxiety irratibility social phobia inability to relax short term memory problems inability to focus (attention deficit) lack of spontaneity or creativity cravings for the relief that follows orgasm slow to process information overall cognitive impairment (brain fog) Most POIS sufferers report the above symptoms, regardless of whether they have some of the additional symptoms listed below. Another frequently occuring symptom is exhaustion, either mental or physical. However, there are several cases of people with the above symptom cluster who do not feel exhaustion.Thanks, Counterpoints, for listening (reading )
Quote from: demografx on 10/03/2009 05:55:53Martin, I don't think most MD's have been exposed to POIS, so the risk may be small to label us as psychological. Perhaps you are influenced by OUR experiences with MD's, but we are only a small fraction of the mainstream population.Could it be "most MD who have seen pois cases"?If I remember well, there was also a MD from TNS who suggested to investigate with psychiatrists instead of endocrinologists. Pois is only based on observations (empiricism), even by Dr Waldinger, and need a medical study to confirm that it's not psychological (what we almost all feel/know already).
COUNTERPOINTS, one way to combat this built-in bias of import/descent is alphabetical sequence!
B_Jim, that was very enlightening, thank you! So how can we make "tiredness" more predominant without losing wiki credibility?? And do you agree that tiredness/exhaustion/fatigue is predominant across the 200 cases?
To summarise, i can definately feel an improvement with the Tyrosine supplementation.This leads me to believe that my POIS symptoms stem from low Dopamine. If this is so, would i not benefit more from drugs called Dopamine agonists? Any thoughts?